Information
-
Enter an Audit Title of "Risk Review" ...
-
Audit Title
-
Customer Name
-
Address
-
Contract / Job Number
-
Conducted on
-
Prepared by
Section A - Site Management
-
Date of original risk assessment or previous review:
-
Define the scope of the risk assessment being reviewed. I.E. which buildings and water systems
-
Is the name of the nominated responsible person up to date
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Is the name of the nominated deputy responsible person up to date
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Has the occupancy level of the building(s) changed since the assessment was completed
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Has the building had any change of use since the assessment was completed
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Has the susceptibility level of the building occupants changed
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Has there been any local construction of water systems, outside the building(s), that may affect the risk
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Is there any evidence of site staff being trained in Legionella awareness and their responsibilities within the control scheme
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Is there a written procedure to define the action to be taken if Legionella bacteria are detected in samples taken from site
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Is there a written procedure to define the action to be taken if a case of Legionnaire’s disease is suspected from water systems on the site
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Is there a written procedure regarding when and how to alternate hot or cold water pumps
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Are the responsibilities for carrying out the tasks within the control scheme clearly defined
Tap to enter information
-
Details / Priority /Action By Whom & Date
Section B - Assets, Previous Recommendations & Schematics
-
By checking the available records, can it be shown that all recommendations of the risk assessment have been implemented
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Are there schematic diagrams for every water system
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Are the schematic drawings accurate with regard to the locations that they supply
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Do the schematic drawings show enough detail so that they are not ambiguous
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Is the outlet asset register accurate? I.e. are all of the outlet types and number defined in each location where water is used
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Is the “fixed asset” register accurate? I.e. are all of the cold-water storage tanks and hot water vessels recorded
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Is a supplementary biocide being dosed into any of the systems and has this been installed since the previous risk assessment
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Complete inspection sheets for all cold-water tanks and hot water vessels and make recommendations for remedial action as required
Tap to enter information
-
Details / bPriority /Action By Whom & Date
Section C - Cold Water Tank Inspections
-
Is there a secure, close fitting lid fitted
Tap to enter information
-
Tank Number / Details / Priority /Action By Whom & Date
-
Is there a lid vent (tank breather) fitted and is it in good condition
Tap to enter information
-
Tank Number / Details / Priority /Action By Whom & Date
-
Is there an overflow screen fitted and is it in good condition
Tap to enter information
-
Tank Number / Details / Priority /Action By Whom & Date
-
Is the tank well insulated from heat gain
Tap to enter information
-
Tank Number / Details / Priority /Action By Whom & Date
-
Is the tank corroded
Tap to enter information
-
Tank Number / Details / Priority /Action By Whom & Date
-
Is there any evidence of scale deposition
Tap to enter information
-
Tank Number / Details / Priority /Action By Whom & Date
-
Describe the level of sediment on the base of the tank. (Percentage covered)
-
Does the level control valve shut off before the overflow level is reached
Tap to enter information
-
Tank Number / Details / Priority /Action By Whom & Date
-
Does the inlet supply valve shut off the supply
Tap to enter information
-
Tank Number / Details / Priority /Action By Whom & Date
-
Does the outlet valve shut off the outlet
Tap to enter information
-
Tank Number / Details / Priority /Action By Whom & Date
-
Record the stored water temperature as far away as possible from the inlet valve.
-
Record the inlet temperature at the mains inlet.
Section D - Hot Water Vessel Inspections
-
Was an internal inspection of the vessel undertaken
Tap to enter information
-
HWS Number / Details / Priority /Action By Whom & Date
-
Were the internal surfaces of the vessel covered in scale deposits
Tap to enter information
-
HWS Number / Details / Priority /Action By Whom & Date
-
Were there any signs of internal corrosion
Tap to enter information
-
HWS Number / Details / Priority /Action By Whom & Date
-
Is the vessel well insulated to prevent heat loss
Tap to enter information
-
HWS Number / Details / Priority /Action By Whom & Date
-
Does the vessel drain valve operate safely
Tap to enter information
-
HWS Number / Details / Priority /Action By Whom & Date
-
Was the vessel drain flushed until clear water was achieved
Tap to enter information
-
HWS Number / Details / Priority /Action By Whom & Date
-
Is there a flow/storage temperature gauge fitted
Tap to enter information
-
HWS Number / Details / Priority /Action By Whom & Date
-
What is the stored water temperature
-
Is there a return line temperature gauge fitted
Tap to enter information
-
HWS Number / Details / Priority /Action By Whom & Date
-
What is the return water temperature
-
Is the return pump operating
Tap to enter information
-
HWS Number / Details / Priority /Action By Whom & Date
Section E - Control Scheme Monitoring Records
-
Are the temperature records for all cold water systems complete
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Have all non-conformances in cold-water temperature been investigated and addressed
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Are the temperature records for all hot water systems complete
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Have all non-conformances in hot water temperature been investigated and addressed
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Are there full records of flushing for any identified “low use” outlets
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Has the risk assessment been reviewed and records produced at the agreed frequency
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Are there records to demonstrate that showers have been inspected and disinfected at least quarterly
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Are there records of duty/standby pumps being alternated on DHWS return
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Are there suitable records of any fitted biocide dosing system
Tap to enter information
-
Details / Priority /Action By Whom & Date
-
Are there records of cold-water tank and hot water vessel inspection
Tap to enter information
-
Details / Priority /Action By Whom & Date
Summary
-
Assessors comments and summary
-
Photographic Evidence ( if applicable )
Item
-
Description
-
-